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Sacroiliitis: Frequently Asked Questions + Treatment Info


Low back pain is one of the most commonly reported medical issues. For many patients, pain in the lower back persists despite treatment and ongoing preventative measures. As a result, low back pain accounts for billions of dollars spent on healthcare in the United States each year1.


The causes of chronic and acute low back pain are widely varied. Herniated discs, muscle strain, congenital conditions, and underlying mechanical issues of the spine are just a few of the sources of this pain.


Sacroiliitis, an
inflammatory condition of the sacroiliac joints, is estimated to effect between 10 and 25 percent of people who suffer from low back pain2. This condition is often underdiagnosed because the symptoms it causes are mirrored by numerous other back issues. 


Despite sacroiliitis being a fairly common condition, many patients have limited knowledge of what it is, its symptoms and its treatment options. 


Today, we’re answering some frequently asked questions about sacroiliitis and how it can be managed.

What is Sacroiliitis?

Sacroiliitis, also known as sacroiliac joint dysfunction, refers to inflammation in one or both of the sacroiliac joints (SI joints). The SI joints link the pelvis (the ilium) to the lower spine (sacrum) and are essential for transferring weight between the lower extremities and the spine.


Sacroiliitis is a type of
spondyloarthropathy, a group of inflammatory spinal conditions. Sacroiliitis is typically the first manifestation of a condition known as axial spondyloarthritis3. It is also the first symptom of ankylosing spondylitis. 

What Are the Symptoms of Sacroiliitis?

Sacroiliitis causes SI joint pain. This pain can manifest in a number of ways:


  • Pain in the lower back, hips, buttocks and upper thighs
  • Pain that intensifies after sitting or standing for a long time
  • Pain that intensifies at night
  • Stiffness when waking up
  • Pain that intensifies after unevenly distributing weight to one foot over the other
  • Pain after climbing stairs or intense exercise, like running


Because these symptoms are hallmarks of various mechanical issues of the spine, sacroiliitis is often misdiagnosed, especially in young people. 

What Causes Sacroiliitis?

Inflammation of the sacroiliac joints is often an early symptom of an underlying inflammatory condition. 


Degenerative arthritis, the breakdown of cartilage due to wear and tear or injury, can occur in the SI joints. Sacroiliitis is one of the first symptoms of degenerative arthritis in the sacroiliac joints.


Psorioatic arthritis is a form of inflammatory arthritis that occurs in people who suffer from psoriasis. Pain and inflammation in the SI joints is often one of the first symptoms of PsA in people with psoriasis. Between 34% and 78% of patients with psoriatic arthritis experience sacroiliitis4.


Ankylosing spondylitis is an inflammatory condition of the spine that can cause fusion of the small bones in the spine. It is a form of arthritis. Sacroiliitis is often one of the first symptoms of ankylosing spondylitis. 


Lupus, also known as systemic lupus erythematosus, is an autoimmune disease that causes inflammation in various organ systems, including the joints. SI joint pain is common in individuals with SLE. 


Many people without underlying arthritis or autoimmune conditions experience sacroiliitis. 


Trauma to the SI joints, injury, pregnancy, and surgery can cause sacroiliitis. 

How Is Sacroiliitis Diagnosed?

The first diagnostic measure for sacroiliitis is a physical exam. During the exam, your doctor will press on (palpate) different areas of the hips and buttocks to find specific points of pain. He or she will also use tests of physical movement that engage the SI joints. The pelvic rock test, FABERE and Gaenslen maneuvers are three provocation tests used to induce SI joint pain in the diagnosis of sacroiliitis. 


X-rays and MRI may be used in sacroiliitis diagnosis if underlying conditions like ankylosing spondylitis are suspected. 


Diagnostic anesthetic injections are also used to pinpoint the source of a patient’s lower back pain. If anesthetic injections into the sacroiliac joint provide pain relief, the SI joints are likely the cause of a patient’s painful symptoms.

Treatment Options for Sacroiliitis

Treatment for sacroiliitis is determined by the underlying causes of the condition, as well as the severity of the patient’s symptoms. 


Fortunately, there are many nonsurgical treatments that can provide relief for sacroiliitis symptoms. 


Pain relievers,
like over-the-counter pain medications such as NSAIDs (non-steroidal anti-inflammatory drugs) or acetaminophen, can provide pain relief for mild to moderate sacroiliitis pain.


For moderate to severe sacroiliitis pain,
prescription pain relievers and muscle relaxers like Amrix can help provide relief and reduce muscle spasms associated with sacroiliitis. 


For patients with a diagnosis of ankylosing spondylitis,
TNFis (tumor necrosis factor inhibitors) can help slow the progression of SI joint damage and provide pain relief5.


Physical therapy can help individuals with sacroiliitis maintain range of motion in their SI joints and provide strengthening exercises for surrounding muscles.


Sacroiliac joint injections are a minimally invasive treatment method for sacroiliitis pain. These injections are performed by a pain doctor in a clinical setting, and use a combination of steroids and local anesthetics to target one or both of the sacroiliac injections. The procedure typically takes only 30 minutes to complete and begins to take effect in 3-5 days. 


Electrical stimulation, also known as transcutaneous electrical nerve stimulation, can help with sacroiliitis pain by blocking the electrical signals involved in SI joint pain.


For particularly severe cases of sacroiliitis that have not responded to other treatment methods,
SI joint fusion is an option. This procedure uses bone grafts or other instruments to induce bone growth over the SI joints, creating a single immobile unit of the sacrum and ilium. 

Treatment for Sacroiliitis at Pain Treatment Centers of America

Pain Treatment Centers of America specializes in pain caused by SI joint inflammation and dysfunction. We offer a variety of treatments that address sacroiliitis pain, help patients return to mobility and recover their quality of life. 


PTCOA has
10 clinic locations across the state of Arkansas, as well as 6 interventional surgery centers. 


Contact us at (844) 215-0731 to schedule your appointment or to learn more about our treatment specialties. 


Sources:


  1.  "US Spending on Personal Health Care and Public Health ...." 27 Dec. 2016, https://jamanetwork.com/journals/jama/fullarticle/2594716.
  2. "Sacroiliitis - Cleveland Clinic." https://my.clevelandclinic.org/health/diseases/17736-sacroiliitis.
  3. "Sacroiliitis – early diagnosis is key - NCBI - NIH." https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6136407/.
  4. "Sacroiliac joint pain as an important element of psoriatic ...." 12 Apr. 2013, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3834688/.
  5. "Do TNF Inhibitors Change the Progression of Sacroiliitis ...." 28 Sep. 2016, https://acrabstracts.org/abstract/do-tnf-inhibitors-change-the-progression-of-sacroiliitis/
July 31, 2026
Many people spend hours each day sitting at a desk, looking down at a phone, or driving between appointments without realizing how these habits affect their bodies. Over time, poor posture places excessive stress on muscles, joints, and the spine, leading to chronic pain that interferes with daily life. At Pain Treatment Centers of America, we help patients identify the causes of persistent pain and develop bespoke treatment plans that improve function, mobility, and well-being. How Poor Posture Leads to Chronic Pain Proper posture keeps your body aligned, allowing muscles, ligaments, and joints to work efficiently. When posture is compromised—whether from slouching, hunching over a computer, or standing unevenly—certain muscles become overworked while others weaken. Such imbalance places unnecessary strain on the spine and surrounding tissues. Over time, poor posture leads to chronic pain in several areas of the body, including: Neck and shoulders Upper and lower back Hips and pelvis Knees Head, leading to tension headaches Many people don’t notice the effects immediately, but repeated poor posture can gradually cause inflammation, muscle fatigue, nerve irritation, and reduced flexibility. Common Signs Your Posture May Be Causing Pain Poor posture often develops slowly, making it hard to recognize until discomfort becomes persistent. Typical symptoms include: Frequent neck or shoulder stiffness Ongoing lower back pain Muscle tightness after sitting for long periods Headaches which start at the base of the skull Rounded shoulders or a forward head position Fatigue from standing or sitting throughout the day If these symptoms continue despite rest or over-the-counter treatments, it may be time for a medical assessment. Simple Ways to Improve Your Posture Improving posture doesn’t happen overnight, but small daily changes can greatly reduce pain and prevent future problems. Consider these healthy habits: Sit with both feet flat on the floor and your back supported. Keep computer monitors at eye level to reduce neck strain. Take regular breaks to move your body throughout the day. Strengthen muscles in your core to better support your spine. Practice posture awareness while standing, walking, and lifting objects. Try not to look down at your phone for longer periods of time by raising the screen closer to eye level. These simple adjustments can reduce stress on your body and improve comfort during daily activities. When Professional Treatment Is Needed While posture correction helps many people, chronic pain may require additional medical care, especially if poor posture has caused joint dysfunction, nerve irritation, or long-term muscle imbalances. A complete evaluation can determine whether posture is causing your symptoms and identify other underlying conditions that may be involved. Depending on your diagnosis, treatment may include: Physical therapy and guided rehabilitation Interventional pain management procedures Trigger point or joint injections Medication management when appropriate Personalized exercise recommendations Education on body mechanics and ergonomics Combining posture correction with targeted treatment often provides the greatest long-term relief. Personalized Chronic Pain Care at Pain Treatment Centers of America At Pain Treatment Centers of America, we understand chronic pain is rarely caused by a single factor. Our experienced providers evaluate the whole person to identify the root cause of discomfort and create individualized treatment plans that support lasting relief. Whether your pain stems from poor posture, repetitive strain, or another underlying condition, we’re committed to helping you improve mobility, restore function, and return to the activities you enjoy.  If chronic neck, back, or shoulder pain is impacting your quality of life, schedule a consultation with Pain Treatment Centers of America today. Together, let’s customize a treatment plan that helps you stand taller, move more comfortably, and live with less pain.
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Pain is often associated with injury, arthritis, or another structural problem in the body. However, not all pain comes from damaged bones, joints, muscles, or tissues. Sometimes, the nervous system itself causes discomfort. This pain is called neuropathic pain and can greatly affect quality of life. At Pain Treatment Centers of America, we help patients determine the source of their symptoms and develop personalized plans to manage chronic nerve pain effectively. What Is Neuropathic Pain? Neuropathic pain happens when nerves are damaged, irritated, or dysfunctional. Unlike pain from injury or inflammation, it results from abnormal signaling within the nervous system. These disrupted signals cause the brain to sense pain even without ongoing tissue damage. Patients commonly describe neuropathic pain as burning, tingling, shooting, electric-like, or stabbing. Some may experience numbness, elevated sensitivity to touch, or pain that seems disproportionate to any physical findings. Common Causes of Neuropathic Pain Neuropathic pain can develop from a variety of conditions that affect the nerves or nervous system. Some common causes include: Diabetes-related nerve damage (diabetic neuropathy) Herniated discs are causing nerve compression Shingles and postherpetic neuralgia Complex regional pain syndrome (CRPS) Multiple sclerosis Spinal cord injuries Stroke-related nerve damage Chemotherapy-induced neuropathy Symptoms can vary widely, so proper evaluation is key for accurate diagnosis and efficient treatment. Neuropathic pain is often challenging to identify because imaging exams like X-rays, CT scans, or MRIs may not always reveal the source of the problem. Patients may experience significant pain despite having slight structural abnormalities. A complete evaluation includes medical history, physical exam, neurological assessment, and diagnostic tests when needed. Identifying nerve involvement is critical because neuropathic pain often responds differently to treatment than musculoskeletal pain. Treatment Options for Neuropathic Pain Successful treatment focuses on addressing the underlying cause when possible while reducing symptoms and improving function. Depending on the patient’s condition, treatment options may include: Medication management designed specifically for nerve pain Nerve block injections Physical therapy and rehabilitation Spinal cord stimulation Lifestyle alterations Interventional pain management procedures Many benefit from an approach that combines several therapies for the best outcomes. When to Seek Professional Care Persistent burning, tingling, numbness, or shooting pain should not be ignored. Early diagnosis and treatment prevent worsening symptoms and improve long-term outcomes. If you have ongoing pain not connected to a structural injury, it may be time to explore if neuropathic pain is the cause. An extensive evaluation can determine the source of your symptoms and identify the most effective treatments. Personalized Neuropathic Pain Treatment at Pain Treatment Centers of America At Pain Treatment Centers of America, we understand that chronic pain is complex and every patient’s experience is unique. Our team uses sophisticated diagnostic tools and evidence-based treatments to identify nerve-related pain and create individualized care plans to improve comfort, mobility, and quality of life. If you are experiencing persistent nerve pain symptoms, schedule a consultation with Pain Treatment Centers of America today. Together, we can develop a treatment plan designed to help you regain control of your daily activities and move toward lasting relief.
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